Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
2D
0E
1F
Potential for minimal harm
0A
0B
0C
March 22, 2026Standard inspection · 0 citations
January 19, 2025Standard inspection, Complaint inspection · 5 citations
- G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that the care plan was followed for Activities of Daily Living (ADL) ensuring that care was provided by the appropriate number of staff, to prevent accidents, for one of 14 residents (R) (R115), sampled for care plans. Harm was identified to have occurred on 12/16/2024 when R115 fell while receiving ADL care, resulting in bilateral femoral fractures and a right humeral fracture.
- G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to protect one of two residents (R) (R115) sampled for falls during Activities of Daily Living (ADL) care. Harm was identified to have occurred on 12/16/2024 when R115 fell while receiving ADL care, resulting in bilateral femoral fractures and a right humeral fracture.
- F
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, record review, and review of the facility policies titled Standard Precautions, Dressings, Dry/Clean, and Laundry Services, the facility failed to ensure infection control practices were adhered to during wound care for one of three residents (R) (R12) reviewed for wound care. The facility also failed to ensure laundry practices were conducted so as not to cause cross-contamination of clean linen with soiled linen. The deficient practices had the potential to increase R12's risk of infections due to cross-contamination during wound care and had the potential to place all residents residing in the facility at risk of infections due to cross-contamination due to inappropriate handling of linen.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility policies titled Administering Medications and Self-Administration of Medications, the facility failed to ensure medications were not left at the bedside of two of 14 sampled residents (R) (R7 and R215) who were not assessed for medication self-administration. This deficient practice had the potential to place R7 and R215 at risk for the unsafe use of medications.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interviews, record review, and review of the facility policy titled Administering Medications, the facility failed to ensure a medication order was clarified with the physician prior to administering the medication to one of five residents (R) (R12) observed for medication pass. This deficient practice had the potential to place R12 at risk of avoidable medical complications due to a medication dosage order not being clarified prior to administration.
September 24, 2023Standard inspection · 0 citations
Fire safety inspections
26 fire safety citations on file: 7 on March 22, 2026, 10 on January 19, 2025, 9 on September 24, 2023.
Every fire safety citation26 citations
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
K 131 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Have an enclosure around a vertical opening shaft.
K 311 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Provide properly protected cooking facilities.
K 324 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · March 22, 2026 · Corrected (the home has a date of correction)
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K 741 · March 22, 2026 · Corrected (the home has a date of correction)
- F
Develop and maintain an Emergency Preparedness Program (EP).
E 4 · January 19, 2025 · Corrected (the home has a date of correction)
- F
Establish methods for sharing information.
E 33 · January 19, 2025 · Corrected (the home has a date of correction)
- F
Provide a means of sharing information on occupancy/needs.
E 34 · January 19, 2025 · Corrected (the home has a date of correction)
- F
Provide family notifications of emergency plan.
E 35 · January 19, 2025 · Corrected (the home has a date of correction)
- F
Install an approved automatic sprinkler system.
K 351 · January 19, 2025 · Corrected (the home has a date of correction)
- F
Have proper medical gas storage and administration areas.
K 923 · January 19, 2025 · Corrected (the home has a date of correction)
- E
Inspect, test, and maintain automatic sprinkler systems.
K 353 · January 19, 2025 · Corrected (the home has a date of correction)
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · January 19, 2025 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · January 19, 2025 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · January 19, 2025 · Corrected (the home has a date of correction)
- D
Have properly located and lighted "Exit" signs.
K 293 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Have an enclosure around a vertical opening shaft.
K 311 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Install a fire alarm system that can be heard throughout the facility.
K 341 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K 372 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Have properly installed electrical wiring and gas equipment.
K 511 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of highly flammable decorations.
K 753 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Have restrictions on the use of portable space heaters.
K 781 · September 24, 2023 · Corrected (the home has a date of correction)
- D
Have proper medical gas storage and administration areas.
K 923 · September 24, 2023 · Corrected (the home has a date of correction)